Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.07 / $2,961.13 / $7,189.98	Facility		$719.07	$2,961.13	$7,189.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.07 / $1,880.00 / $18,773.00	Professional		$719.07	$1,880.00	$18,773.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $5,044.78 / $14,393.63	Facility		$614.00	$5,044.78	$14,393.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $2,838.70 / $6,945.17	Professional		$1,167.83	$2,838.70	$6,945.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $2,110.87 / $8,233.27	Facility		$92.60	$2,110.87	$8,233.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,328.42 / $1,897.74 / $4,745.30	Professional		$1,328.42	$1,897.74	$4,745.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,897.74 / $3,795.48 / $9,412.79	Facility		$1,897.74	$3,795.48	$9,412.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,277.29 / $5,498.05	Professional		$1,500.00	$2,277.29	$5,498.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,335.67 / $2,919.60 / $3,941.46	Professional		$2,335.67	$2,919.60	$3,941.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,481.66 / $3,211.56 / $5,576.44	Professional		$2,481.66	$3,211.56	$5,576.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,671.35 / $13,868.10 / $13,868.10	Facility		$4,671.35	$13,868.10	$13,868.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,598.00 / $14,598.00 / $21,897.00	Professional		$14,598.00	$14,598.00	$21,897.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,459.80 / $1,459.80 / $2,043.72	Professional		$1,459.80	$1,459.80	$2,043.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,880.00 / $2,960.47 / $6,971.99	Facility		$1,880.00	$2,960.47	$6,971.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,751.76 / $3,211.56 / $5,639.61	Professional		$1,751.76	$3,211.56	$5,639.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,247.79 / $10,247.79 / $10,247.79	Professional		$10,247.79	$10,247.79	$10,247.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,335.67 / $2,615.96 / $3,970.66	Professional		$2,335.67	$2,615.96	$3,970.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,226.23 / $4,923.93	Professional		$1,226.23	$1,226.23	$4,923.93